Can coronary heart disease be cured?

Today I want to talk to you about an old topic - coronary heart disease. In previous popular science articles, I have talked to you about the relevant knowledge of coronary heart disease many times. The reason why I repeatedly talk about the topic of coronary heart disease is Because coronary heart disease is so common in clinical practice, if you go to the cardiology ward, more than 90% of hospitalized patients are hospitalized because of coronary heart disease.

The causes and clinical manifestations of coronary heart disease have been introduced to you in previous popular science articles. Today I will mainly discuss with you some relevant knowledge about the more serious stage of coronary heart disease - coronary heart disease complicated by cardiac insufficiency. .

What are the symptoms of coronary heart disease complicated by cardiac insufficiency?

With the long-term development of coronary heart disease, it will develop into the stage of cardiac insufficiency. Patients often feel chest tightness, suffocation, and lack of air. In mild cases, patients may feel out of breath when climbing stairs. In severe cases, they may be out of breath at the slightest movement. In the most severe cases, patients may feel out of breath when lying in bed, and may even be unable to lie down. When our doctors auscultate patients, they can often hear crackles at the bottom of the patient's lungs. When the patient's lower limbs are pressed, they can penetrate into the pits. This is called edema of the lower limbs. Both of these signs indicate that the patient has developed a heart attack. decline.

What tests should be done for coronary heart disease and heart failure?

Patients with coronary heart disease and heart failure need to undergo electrocardiogram, cardiac color ultrasound, blood test for BNP, troponin, cardiac enzyme and other tests according to the situation. Electrocardiogram often shows symptoms of myocardial ischemia, such as S-T segment depression, but sometimes it can also show normal electrocardiogram. Cardiac color ultrasound shows heart enlargement, valvular regurgitation, segmental myocardial dyskinesis, and BNP is often increased.

How to treat coronary heart disease and heart failure?

Our doctors have a formula for clinically controlling heart failure: strengthening the heart, diuresis, and dilating blood vessels. Severe cases require oxygen inhalation, and dilated blood vessels are often treated with liquid infusions of Chinese patent medicines that promote blood circulation and remove blood stasis. Diuresis is also a very important treatment measure. We often use intravenous furosemide and oral spironolactone to expel excess fluid from the body and relieve heart disease. The burden of cardiotonic drug digoxin needs to be carefully selected. If the dose is not mastered well, it can easily cause poisoning. Aspirin and statins are two basic drugs. As long as the patient has no contraindications, he needs to take them for life. Statin drugs are not just as simple as lowering blood lipids. In addition to lowering blood lipids, they also stabilize atherosclerotic plaques and prevent plaque rupture. Aspirin inhibits platelet aggregation and prevents thrombosis.

Friendly reminder:

The drugs mentioned in the article may cause electrolyte disorders, liver function damage, bleeding, etc. Please take them under the guidance of a doctor and do not buy them without permission. To take